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  • Sun, Yuting; Meyers, Brooke A; Czako, Barbara; Leonard, Paul; Mseeh, Faika; Harris, Angela L; Wu, Qi; Johnson, Sarah; Parker, Connor A; Cross, Jason B; Di Francesco, Maria Emilia; Bivona, Benjamin J; Bristow, Christopher A; Burke, Jason P; Carrillo, Caroline C; Carroll, Christopher L; Chang, Qing; Feng, Ningping; Gao, Guang; Gera, Sonal; Giuliani, Virginia; Huang, Justin K; Jiang, Yongying; Kang, Zhijun; Kovacs, Jeffrey J; Liu, Chiu-Yi; Lopez, Anastasia M; Ma, Xiaoyan; Mandal, Pijus K; McAfoos, Timothy; Miller, Meredith A; Mullinax, Robert A; Peoples, Michael; Ramamoorthy, Vandhana; Seth, Sahil; Spencer, Nakia D; Suzuki, Erika; Williams, Christopher C; Yu, Simon S; Zuniga, Andy M; Draetta, Giulio F; Marszalek, Joseph R; Heffernan, Timothy P; Kohl, Nancy E; Jones, Philip

    Cancer research (Chicago, Ill.), 11/2020, Letnik: 80, Številka: 21
    Journal Article

    Src homology 2 domain-containing phosphatase (SHP2) is a phosphatase that mediates signaling downstream of multiple receptor tyrosine kinases (RTK) and is required for full activation of the MAPK pathway. SHP2 inhibition has demonstrated tumor growth inhibition in RTK-activated cancers in preclinical studies. The long-term effectiveness of tyrosine kinase inhibitors such as the EGFR inhibitor (EGFRi), osimertinib, in non-small cell lung cancer (NSCLC) is limited by acquired resistance. Multiple clinically identified mechanisms underlie resistance to osimertinib, including mutations in EGFR that preclude drug binding as well as EGFR-independent activation of the MAPK pathway through alternate RTK (RTK-bypass). It has also been noted that frequently a tumor from a single patient harbors more than one resistance mechanism, and the plasticity between multiple resistance mechanisms could restrict the effectiveness of therapies targeting a single node of the oncogenic signaling network. Here, we report the discovery of IACS-13909, a specific and potent allosteric inhibitor of SHP2, that suppresses signaling through the MAPK pathway. IACS-13909 potently impeded proliferation of tumors harboring a broad spectrum of activated RTKs as the oncogenic driver. In EGFR-mutant osimertinib-resistant NSCLC models with EGFR-dependent and EGFR-independent resistance mechanisms, IACS-13909, administered as a single agent or in combination with osimertinib, potently suppressed tumor cell proliferation and caused tumor regression . Together, our findings provide preclinical evidence for using a SHP2 inhibitor as a therapeutic strategy in acquired EGFRi-resistant NSCLC. SIGNIFICANCE: These findings highlight the discovery of IACS-13909 as a potent, selective inhibitor of SHP2 with drug-like properties, and targeting SHP2 may serve as a therapeutic strategy to overcome tumor resistance to osimertinib.